miércoles, 11 de agosto de 2010
martes, 10 de agosto de 2010
jueves, 5 de agosto de 2010
lunes, 2 de agosto de 2010
domingo, 1 de agosto de 2010
sábado, 24 de julio de 2010
Presentando... al nuevo Dräger Babylog® VN500
La máquina con la que nuestros niños merecen ser tratados...
miércoles, 21 de julio de 2010
lunes, 19 de julio de 2010
viernes, 16 de julio de 2010
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viernes, 9 de julio de 2010
jueves, 1 de julio de 2010
jueves, 10 de junio de 2010
Las Clínicas de Perinatología de Junio del 2010 y las Clínicas de Pediatría de Junio del 2010
Clínicas de Perinatología:
http://www.mediafire.com/?gwmudmornwz
Clínicas de Pediatría:
http://www.mediafire.com/?nnktotzjyyi
http://www.mediafire.com/?gwmudmornwz
Clínicas de Pediatría:
http://www.mediafire.com/?nnktotzjyyi
lunes, 7 de junio de 2010
viernes, 4 de junio de 2010
Los últimos acontecimientos me motivan reflexiones suburbanas y bíblicas al mismo tiempo...
Con guantes de operar, hago un pequeño bolo
de lodo suburbano. Lo hecho a rodar por esas
calles: los que se tapen las narices le habrán
encontrado carne de su carne.
Pablo Palacio,
Un hombre muerto a puntapiés (prefacio)
Obras Completas, Editorial La Oveja Negra Ltda., 1986, Quito, 35p.
Viendo Pilato, que nada adelantaba, sino que al contrario crecía el clamor, tomó agua y se lavó las manos delante del pueblo diciendo: «Yo soy inocente de la sangre de este justo. Vosotros veréis» (Mateo, 27:24).
jueves, 27 de mayo de 2010
sábado, 22 de mayo de 2010
La historia de nuestros días...
Aunque todo vaya mal, siempre es momento para estar atentos: podría empeorar...
jueves, 20 de mayo de 2010
La importancia de la iatrogenia en la moderna Neonatología
Andrews BF. A six finger exercise. Am J Dis Child 1968;116:334
domingo, 16 de mayo de 2010
viernes, 7 de mayo de 2010
La luz al final del túnel...
Short Bowel; Infant; dob 08 April, 2010; Quito, Ecuador
De: Kim Sterneberg (kasterneberg@insightbb.com)
Enviado: Viernes, 07 de mayo de 2010 3:29:19
Para: Fernando Agama Cuenca (ferac@puntonet.ec); Fernando Agama Cuenca
(ferac50@hotmail.com)
CC: Helen Salan (htcmioh@iserv.net)
Re: Short Bowel Syndrome Neonate—Quito, Ecuador
Dob 08 April, 2010
Dr. Agama,
Hello. I tried calling you this evening with a cell phone number (59398831967) that Steve Diamond gave to our director, but my Spanish is limited and a very nice lady on the other end didn’t speak English.
Thank you for your email with the list of weights and photos. I made contact today with Dr. Samuel Kocoshis. He is the medical director of the Small Bowel Transplantation Program at Cincinnati Children’s Hospital Medical Center. Your pictures were extremely helpful. He is interested and wants to present this case to his department. He said from the pictures it appears that there is a very good chance of “bowel rehabilitation.” He said that whether or not this is possible or, if a transplant is what is needed; either situation would require a lengthy stay and close follow up. But again, he was very encouraged by what he saw.
There is a department meeting at noon on Monday where he will present the case and has asked me to be present. I am happy to go to the meeting and address any of the concerns I can. Some concerns and questions he raised regarding the acceptance by the department are:
1. ‘social’ care for the baby while here (they wouldn’t want the baby to become the sole responsibility of the hospital or have a family member of the baby change their mind during mid-treatment),
2. gaining approval for the length of time the baby would need to be here by our two governments,
3. care for the baby upon return to Ecuador,
4. and, of course, financial.
To the points he raised:
1. ‘social’ responsibility—I assured him that HTC would provide a host family and any general pediatric care not related to the case. We assume that a family member would not be accompanying the child. We already have a very experienced host family that has agreed to care for the baby.
2. gaining government permission—Helen Salan (HTC director) is very experienced obtaining medical visas and government documentation. She will need a contact in Ecuador to complete paperwork on your end. Dr. Kocoshis was relieved that the hospital wouldn’t have to do this.
3. care for the baby upon return—I assume ‘yes,’ with the medical care and commitment you have already shown this baby. But Dr. Kocoshis said that they have had cases where the medical and financial support fell apart upon children returning to their home countries. I’ll also be able to tell them that Steve Diamond has a long term relationship with the medical community in Quito. Return would not be for 2+ years from now, but this is one of the concerns he wants me to cover at the meeting.
4. Financial—Is Ecuador still willing to finance the medical care of the baby? Steve Diamond and our director, Helen, will be talking about the financial details for the hospital care and medical transport. Unfortunately, this will be an important detail for the medical team to have this case accepted by the hospital administration. I will need input from you, Steve Diamond and Helen Salan about how to proceed here. The host family and all other general pediatric care are at no cost, but the hospital and procedures…
At least this case is moving forward at Children’s. I’m not sure what we’ll know after the meeting on Monday, hopefully good news.
Your last correspondence was very helpful; could you please provide an update on the baby over the weekend? Also, if you have anything to add or questions regarding the points above, please feel free to contact me by email or phone—or contact Steve Diamond or Helen Salan. We want to help make this happen. I’ll add contact information at the bottom of this email.
Again doctor, thank you for taking care of this infant.
Sincerely,
Steven B. Sterneberg, M.D.
De: Kim Sterneberg (kasterneberg@insightbb.com)
Enviado: Viernes, 07 de mayo de 2010 3:29:19
Para: Fernando Agama Cuenca (ferac@puntonet.ec); Fernando Agama Cuenca
(ferac50@hotmail.com)
CC: Helen Salan (htcmioh@iserv.net)
Re: Short Bowel Syndrome Neonate—Quito, Ecuador
Dob 08 April, 2010
Dr. Agama,
Hello. I tried calling you this evening with a cell phone number (59398831967) that Steve Diamond gave to our director, but my Spanish is limited and a very nice lady on the other end didn’t speak English.
Thank you for your email with the list of weights and photos. I made contact today with Dr. Samuel Kocoshis. He is the medical director of the Small Bowel Transplantation Program at Cincinnati Children’s Hospital Medical Center. Your pictures were extremely helpful. He is interested and wants to present this case to his department. He said from the pictures it appears that there is a very good chance of “bowel rehabilitation.” He said that whether or not this is possible or, if a transplant is what is needed; either situation would require a lengthy stay and close follow up. But again, he was very encouraged by what he saw.
There is a department meeting at noon on Monday where he will present the case and has asked me to be present. I am happy to go to the meeting and address any of the concerns I can. Some concerns and questions he raised regarding the acceptance by the department are:
1. ‘social’ care for the baby while here (they wouldn’t want the baby to become the sole responsibility of the hospital or have a family member of the baby change their mind during mid-treatment),
2. gaining approval for the length of time the baby would need to be here by our two governments,
3. care for the baby upon return to Ecuador,
4. and, of course, financial.
To the points he raised:
1. ‘social’ responsibility—I assured him that HTC would provide a host family and any general pediatric care not related to the case. We assume that a family member would not be accompanying the child. We already have a very experienced host family that has agreed to care for the baby.
2. gaining government permission—Helen Salan (HTC director) is very experienced obtaining medical visas and government documentation. She will need a contact in Ecuador to complete paperwork on your end. Dr. Kocoshis was relieved that the hospital wouldn’t have to do this.
3. care for the baby upon return—I assume ‘yes,’ with the medical care and commitment you have already shown this baby. But Dr. Kocoshis said that they have had cases where the medical and financial support fell apart upon children returning to their home countries. I’ll also be able to tell them that Steve Diamond has a long term relationship with the medical community in Quito. Return would not be for 2+ years from now, but this is one of the concerns he wants me to cover at the meeting.
4. Financial—Is Ecuador still willing to finance the medical care of the baby? Steve Diamond and our director, Helen, will be talking about the financial details for the hospital care and medical transport. Unfortunately, this will be an important detail for the medical team to have this case accepted by the hospital administration. I will need input from you, Steve Diamond and Helen Salan about how to proceed here. The host family and all other general pediatric care are at no cost, but the hospital and procedures…
At least this case is moving forward at Children’s. I’m not sure what we’ll know after the meeting on Monday, hopefully good news.
Your last correspondence was very helpful; could you please provide an update on the baby over the weekend? Also, if you have anything to add or questions regarding the points above, please feel free to contact me by email or phone—or contact Steve Diamond or Helen Salan. We want to help make this happen. I’ll add contact information at the bottom of this email.
Again doctor, thank you for taking care of this infant.
Sincerely,
Steven B. Sterneberg, M.D.
martes, 4 de mayo de 2010
viernes, 23 de abril de 2010
!!!!Tiene solución¡¡¡¡
Estimado Fernando
por lo que me relata, parecería como que el bebé es un candidato para tx
intestinal
15 cm de yeyuno y colon izquierdo es lo que uno llama intestino ultracorto
lo importante ahora es el cuidado de las vías centrales y obviamente
empezar a conseguir un buen peso con la alimentación parenteral
mi numero de tel es 00549116524 3657
cualquier cosa que necesite no dude en llamarme
lamentablemente esto que les toca vivir ahora no es nada fácil pero tiene
SOLUCION
saludos
Rodrigo Sanchez Claria
rodrigo.sanchez@hospitalitaliano.org.ar
Hospital Italiano de Buenos Aires Argentina (http://www.hospitalitaliano.org.ar/)
por lo que me relata, parecería como que el bebé es un candidato para tx
intestinal
15 cm de yeyuno y colon izquierdo es lo que uno llama intestino ultracorto
lo importante ahora es el cuidado de las vías centrales y obviamente
empezar a conseguir un buen peso con la alimentación parenteral
mi numero de tel es 00549116524 3657
cualquier cosa que necesite no dude en llamarme
lamentablemente esto que les toca vivir ahora no es nada fácil pero tiene
SOLUCION
saludos
Rodrigo Sanchez Claria
rodrigo.sanchez@hospitalitaliano.org.ar
Hospital Italiano de Buenos Aires Argentina (http://www.hospitalitaliano.org.ar/)
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